Provider Demographics
NPI:1952588022
Name:ENG, MICHAEL K (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:K
Last Name:ENG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5841 S MARYLAND AVE
Mailing Address - Street 2:MC 6038
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-1447
Mailing Address - Country:US
Mailing Address - Phone:773-702-0173
Mailing Address - Fax:773-702-1001
Practice Address - Street 1:5841 S MARYLAND AVE
Practice Address - Street 2:MC 6038
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1447
Practice Address - Country:US
Practice Address - Phone:773-702-0173
Practice Address - Fax:773-702-1001
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
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Provider Licenses
StateLicense IDTaxonomies
CAA102419204F00000X
IL208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery